MEDICARE: MS. KERRY ANNE VERME BS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	004470	KY
2	225100000X	Physical Therapist	05007463A	IN

General Provider Information

NPI Number	:	1497790901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KERRY ANNE VERME BS PT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 W EADS PKWY
Second Line	:
City	:	LAWRENCEBURG
State	:	IN
Zip	:	47025-1162
Country	:	US
Telephone Number	:	812-577-0921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	11/10/2022

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